| NPI | 1669987350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 342420) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00791000) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NO12001900) | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2021-09-22 |